Job Responsibilities : Provider Relations Advisor – Work from home
Salary : $16 per hour
Company : Cigna
Location : Remote us
Accountable for the end-to-end provider experience for assigned Book of Business (BOB) (based on local market network strategy and complexity)
Supports local market total medical cost strategies for assigned BOB
Owns end-to-end management and execution of corrective and strategic action plans
Leads, collaborates, and provides direction to improving the provider experience in accordance with action plans activities
Proactively identify new opportunities and risks for providers through SWOT or competitive analysis actions
Responsible for coordinating, directing, and implementing Service Experience Review (SER) as defined by the SER strategy
Manage joint operating committees (JOC), including agenda development, facilitating appropriate meeting participation and follow up activities
Facilitates education and discussion on products, quality initiatives, disease management programs, joint ventures, etc.
Monitors internal metrics and service performance in accordance of organizational and provider specific goals.
Proactively educate and influence policies on CIGNA’s business objectives, standard operating procedures, policies and programs
Participate in local professional associations/organizations
Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
Collect, analyze, interpret, translate and distribute provider informatics with Account Management team
Review provider reports/dashboard with individual HCPs
Understands and applies service culture principles and methodology
Serve in a consultative role or subject matter expert to key matrix partners
Participates in presentations to existing and prospective providers
Serves as advocate in external community, representing Cigna to medical societies and external provider associations.
Convenes and participates in physician and administrative focus/advisory groups
Bachelor’s Degree or higher strongly preferred or equivalent work experience required.
Excellent presentation skills required. Proficient in speaking in both individual and group settings
Experience building strong, positive relationships with providers